Keith Douglas Gworek, OTD, OTR/L, CLT in Richmond, VA - Medicare Occupational Therapist Provider

Keith Douglas Gworek, OTD, OTR/L, CLT is a medicare enrolled "Occupational Therapist - Hand" provider in Richmond, Virginia. His current practice location is 7650 E Parham Rd Ste 100, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 915-1910.

Keith Douglas Gworek is licensed to practice in Virginia (license number 0119009154) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356128045.

Contact Information

	Keith Douglas Gworek, OTD, OTR/L, CLT
	7650 E Parham Rd Ste 100, Richmond, VA 23294-4376
	(804) 915-1910
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keith Douglas Gworek
Gender	Male
Speciality	Occupational Therapist - Hand
Location	7650 E Parham Rd Ste 100, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356128045
Provider Enumeration Date: 09/14/2023
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2567817422
Enrollment ID: I20231012001189

Medical Identifiers

Medical identifiers for Keith Douglas Gworek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356128045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	0119009154 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keith Douglas Gworek allows following entities to bill medicare on his behalf.

Provider Name	Orthovirginia Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Douglas Gworek is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keith Douglas Gworek, OTD, OTR/L, CLT Po Box 715868, Philadelphia, PA 19171-5868 Ph: (804) 915-1910	Keith Douglas Gworek, OTD, OTR/L, CLT 7650 E Parham Rd Ste 100, Richmond, VA 23294-4376 Ph: (804) 915-1910

Reviews and Comments

Occupational Therapist in Richmond, VA

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Mr. James Lyle Wilkerson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 N 24th St, Richmond, VA 23223 Phone: 804-874-4437
Eileen Catherine Shelp, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Wilkes Ridge Dr, Richmond, VA 23233 Phone: 804-877-4000

Keith Douglas Gworek, OTD, OTR/L, CLT - Medicare Occupational Therapist in Richmond, VA